Publications by authors named "Tsutomu Mito"

Article Synopsis
  • This study examined the effectiveness of speech recognition software in providing feedback for medical students' interview skills compared to traditional voice-recording methods.
  • In an observational trial with 79 medical students, those receiving speech recognition feedback showed significantly improved performance in diagnostic accuracy and clinical competence scores.
  • The results indicate that using speech recognition feedback enhances the quality of medical interviews, leading to better outcomes in training future healthcare professionals.
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Objective Difficult patient encounters (DPEs) are defined as encounters with patients causing strong negative feelings in physicians. In primary care settings, DPEs account for approximately 15% of visits among outpatients. To our knowledge, this is the first epidemiological study of DPEs in Japan.

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Backgrounds: Given the short therapeutic window for evidence-based therapies such as thrombolysis and endovascular treatment, it is important to immediately diagnose ischemic stroke. We investigated the prevalence of missed ischemic stroke diagnoses at initial contact and the proportion of potentially treatable patients without a delayed diagnosis.

Methods: A cross-sectional study was conducted.

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A 65-year-old Japanese man was admitted with a 4-month history of fatigue and exertional dyspnea. Transthoracic echocardiography revealed a vegetation on the aortic valve and severe aortic regurgitation. Accordingly, infective endocarditis and heart failure were diagnosed.

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